System of Healthcare Management
Strategic Plan Development
Policy and Procedure Development
Design will vary drastically based
on number of athletes, teams, and various needs of the program
Size
Location
Illumination
Special Service Areas
–Treatment Area: area that accommodates 4-6
adjustable treatment tables, 3-4 stools, and hydrocollator and ice machine
accessibility
–Electrotherapy Area: area that houses ultrasound,
diathermy, electrical stim units, storage units, grounded outlets, treatment
tables and wooden chairs, under constant supervision
–Hydrotherapy Area: area with centrally sloping floor
to drain, equipped with 2-3 whirlpools, shelving and storage space and outlets
5 feet above the floor
–Exercise Rehabilitation
Area: area that
provides adequate space and equipment to perform reconditioning of injuries
–Taping, Bandaging & Orthotic
Area: 3-4 taping
tables and storage cabinets to treat athletes with proximity to a sink
–PhysicianΉs Exam Room: space for physician to work which
may hold exam table, lockable storage, sink, telephone, refrigerator
–Records Area: space devoted to record keeping
which may include filing system or computer based database, that allows access
only to medical personnel
Storage Facilities
Storage in training room that holds
general supplies and special equipment
Athletic TrainerΉs Office
Additional Areas
–Pharmacy Area: separate room that can be secured
for storing and administrating medications (records must be maintained
concerning administration)
–Rehabilitation Pool: if space permits, must be
accessible to individuals with various injuries, with graduated depth and non-slip surface
–X-Ray Room: separate room with lead shielding
in walls, large enough to house necessary equipment
Scope of Program
–Who will be served by program?
–Athletic trainers should be
sure to work within their scope (physically active)
–Fitness programming may also
become an ATCΉs responsibility in this setting
Providing Coverage
Athlete
–Promotion of good health and
hygiene is critical
Athlete
clearance to participate
Athlete
insurance
Prompt
injury and illness reporting
Follow
good living habits
Avoid
sharing clothes and towels
Exhibit
good hygiene practices
Avoid
common drinking sources
Emergency Injury Management
–Accessing emergency personnel
outside setting in the event of emergency
–Include transportation of
athletes to emergency facilities
–Meeting with outside personnel
is necessary to determine roles and rules regarding athlete and equipment care
Roles and responsibilities must be
established
–(job descriptions - job
specifications, accountability, code of conduct, and scope)
Head athletic trainer must serve as
a supervisor and work to enhance professional development of staff
Performance evaluations should take
place routinely
Record Keeping
Major responsibility
Rule not the exception - accurate and
up-to-date
Medical records, injury reports,
insurance information, injury evaluations, progress notes, equipment
inventories, annual reports
Administering Pre participation Examinations
Initial pre-participation exam prior
to start of practice is critical
Purpose it to identify athlete that
may be at risk
Should include
–Medical history, physical
exam, orthopedic screening, wellness screening
Establishes a baseline
Satisfies insurance and liability
issue
Examination by Personal Physician
–Yields an in-depth history and
ideal physician-patient relationship
–May not result in detection of
factors that predispose the athlete to injury
Station Examination
–Provides athlete with detailed
exam in little time
–Team of nine is ideal (2
physicians, 2 non-physicians and 5 managers/student athletic trainers)
Medical History
Physical Examination
Maturity Assessment
Orthopedic Screening
Wellness Screening
Sport Disqualification
Dictates
that athlete makes the final decision
Injury Reports and Injury Disposition
Injury reports serve as future
references
Reports can shed light on events
that may be hazy following an incident
Necessary in case of litigation